I would also try Scott’s suggestion and possibly have a consultation with a doctor who deals with pouch problems. If you do decide to have your J pouch removed, options other than an end ileostomy are the K pouch and the BCIR. The latter two options have a surgically created internal pouch that is emptied 3-5 times a day at your convenience. The stoma is flush with the skin, button hole in size, located below the belt line and covered with a small absorbent dressing. Most people who have one can eat almost anything they want and enjoy all of their customary activities. Supplies to care for these procedures can be less than $100 per year. There is lots of information about them and a list of doctors who are familiar with them on the Quality Life Association web site (www.qla-ostomy.org). Please send me a PM if you would like to talk.